Active NPI
Alesha Ann Baldwin, PT
- Physical Therapist
- Lake Charles, LA
National Provider Identifier
1801504238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02670
- Practice address
- 1401 Country Club Rd
Lake Charles, LA 70605-5321 - Phone
- (337) 480-1550
- Fax
- (337) 480-1314
- NPI assigned
- Nov 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02670 | LA | Primary |
Addresses
Primary practice location
1401 Country Club Rd
Lake Charles, LA 70605-5321
Mailing address
4212 Maid Stone Dr
Lake Charles, LA 70605-4032
Phone (337) 540-4458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02670 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1801504238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 MAID STONE DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706054032",
"telephone_number": "337-540-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 COUNTRY CLUB RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055321",
"telephone_number": "337-480-1550",
"fax_number": "337-480-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "ALESHA",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "02670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.